The impact of psychiatric comorbidity on length of stay of medical inpatients

General Hospital Psychiatry

Volumn 25, Issue 1, 2003, Pages 14-19

  Furlanetto, Letícia M ^a   Da Silva, Roberta V ^a   Bueno, João Romildo ^b  

^a FEDERAL UNIVERSITY OF SANTA CATARINA   (Brazil)

^b FEDERAL UNIVERSITY OF RIO DE JANEIRO   (Brazil)

Author keywords

Cognitive impairment; Delirium; Length of stay; Medical inpatients; Prognosis; Psychiatric comorbidity

Indexed keywords

ADULT; AGE; ANXIETY DISORDER; ARTICLE; COGNITIVE DEFECT; COHORT ANALYSIS; COMORBIDITY; CONTROLLED STUDY; DELIRIUM; DEMENTIA; DEMOGRAPHY; DEPRESSION; DISEASE SEVERITY; FEMALE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; INTERVIEW; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MENTAL PATIENT; MORTALITY; MULTIVARIATE ANALYSIS OF COVARIANCE; PHYSICAL DISEASE; PROSPECTIVE STUDY; PSYCHIATRIST;

ADOLESCENT; ADULT; COGNITION DISORDERS; COHORT STUDIES; DELIRIUM; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PROSPECTIVE STUDIES;

EID: 0037265030     PISSN: 01638343     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0163-8343(02)00236-0     Document Type: Article

References (44)

1. Silverstone P.H. Prevalence of psychiatric disorders in medical inpatients. J Nerv Ment Dis. 184:1996;43-51.
2. Cavanaugh S. The prevalence of emotional, and cognitive dysfunction in a general medical population using the MMSE, GHQ, and BDI . Gen Hosp Psychiatry. 5:(1):1983;15-24.
3. Farrell K.R., Ganzini L. Misdiagnosing delirium as depression in medically ill elderly patients. Arch Intern Med. 155:(22):1995;2459-2464.
4. Boland R.J., Diaz S., Lamdan R.M., Ramchandani D., McCartney J.R. Overdiagnosis of depression in the general hospital. Gen Hosp Psychiatry. 18:(1):1996;28-35.
5. Ciechanowski P.S., Katon W.J., Russo J.E. Depression, and diabetes impact of depressive symptoms on adherence, function, and costs . Arch Intern Med. 160:(21):2000;3278-3285.
6. Furlanetto L.M., Cavanaugh S.A., Bueno J.R., Creech S.D., Powell L.H. Association between depressive symptoms, and mortality in medical inpatients. Psychosomatics. 41:(5):2000;426-432.
7. Jiang W., Alexander J., Christopher E., Kuchibhatla M., Gaulden L., Cuffe M.S., et al. Relationship of depression to increased risk of mortality, and rehospitalization in patients with congestive heart failure. Arch Intern Med. 161:2001;1849-1856.
8. Frasure-Smith N., Lesperance F., Gravel G., Masson A., Juneau M., Talajic M., Bourassa M.G. Depression, and health-care costs during the first year following myocardial infarction. J Psychosom Res. 48(4-5):2000;471-478.
9. Simon G.E., Revicki D., Heiligenstein J., Grothaus L., VonKorff M., Katon W.J., Hylan T.R. Recovery from depression, work productivity, and health care costs among primary care patients. Gen Hosp Psychiatry. 22:(3):2000;153-162.
10. Franco K., Litaker D., Locala J., Bronson D. The cost of delirium in the surgical patient. Psychosomatics. 42:(1):2001;68-73.
11. Sheppeard H., Cleak D.K., Ward D.J., O'Connor B.T. A review of early mortality, and morbidity in elderly patients following Charnley total hip replacement. Arch Orthop Trauma Surg. 97:(4):1980;243-248.
12. Maguire P.A., Taylor I.C., Stout R.W. Elderly patients in acute medical wards factors predicting length of stay in hospital . Br Med J (Clin Res Ed). 292:(6530):1986;1251-1253.
13. Lyons J.S., Hammer J.S., Strain J.J., Fulop G. The timing of psychiatric consultation in the general hospital, and length of hospital stay. Gen Hosp Psychiatry. 8:(3):1986;159-162.
14. Erkinjuntti T., Wikstrom J., Palo J., Autio L. Dementia among medical inpatients. Evaluation of 2000 consecutive admissions. Arch Intern Med. 146:(10):1986;1923-1926.
15. Levenson J.L., Hamer R., Silverman J.J., Rossiter L.F. Psychopathology in medical inpatients, and its relationship to length of hospital stay a pilot study . Int J Psychiatry Med. 16:(3):1986;231-236.
16. Johnston M., Wakeling A., Graham N., Stokes F. Cognitive impairment, emotional disorder, and length of stay of elderly patients in a district general hospital. Br J Med Psychol. 60:(Pt 2):1987;133-139.
17. Fulop G., Strain J.J., Vita J., Lyons J.S., Hammer J.S. Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients a preliminary report . Am J Psychiatry. 144:(7):1987;878-882.
18. Thomas R.I., Cameron D.J., Fahs M.C. A prospective study of delirium, and prolonged hospital stay. Exploratory study. Arch Gen Psychiatry. 45:(10):1988;937-940.
19. Rockwood K., Rockwood P., Eaton W.H. Elderly long-stay surgical patients. Can J Surg. 31:(1):1988;62-64.
20. Rogers M.P., Liang M.H., Daltroy L.H., Eaton H., Peteet J., Wright E., Albert M. Delirium after elective orthopedic surgery risk factors, and natural history . Int J Psychiatry Med. 19:(2):1989;109-121.
21. Fulop G., Strain J.J., Fahs M.C., Hammer J.S., Lyons J.S. Medical disorders associated with psychiatric comorbidity, and prolonged hospital stay. Hosp Community Psychiatry. 40:(1):1989;80-82.
22. Morris P.L., Goldberg R.J. Impact of psychiatric comorbidity on length of hospital stay in gastroenterology patients. Gen Hosp Psychiatry. 12:(2):1990;77-82.
23. Saravay S.M., Steinberg M.D., Weinschel B., Pollack S., Alovis N. Psychological comorbidity, and length of stay in the general hospital. Am J Psychiatry. 148:(3):1991;324-329.
24. Mayou R., Hawton K., Feldman E., Ardern M. Psychiatric problems among medical admissions. Int J Psychiatry Med. 21:(1):1991;71-84.
25. Incalzi R.A., Gemma A., Capparella O., Terranova L., Porcedda P., Tresalti E., Carbonin P. Predicting mortality, and length of stay of geriatric patients in an acute care general hospital. J Gerontol. 47:(2):1992;M35-39.
26. Schor J.D., Levkoff S.E., Lipsitz L.A., Reilly C.H., Cleary P.D., Rowe J.W., Evans D.A. Risk factors for delirium in hospitalized elderly. Jama. 267:(6):1992;827-831.
27. Verbosky L.A., Franco K.N., Zrull J.P. The relationship between depression, and length of stay in the general hospital patient. J Clin Psychiatry. 54:(5):1993;177-181.
28. Saravay S.M., Lavin M. Psychiatric comorbidity, and length of stay in the general hospital. A critical review of outcome studies. Psychosomatics. 35:(3):1994;233-252.
29. Stevens L.E., de Moore G.M., Simpson J.M. Delirium in hospital does it increase length of stay? Aust N Z J Psychiatry. 32:(6):1998;805-808.
30. Koenig H.G., Kuchibhatla M. Use of health services by hospitalized medically ill depressed elderly patients. Am J Psychiatry. 155:(7):1998;871-877.
31. Fulop G., Strain J.J., Fahs M.C., Schmeidler J., Snyder S. A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medical-surgical inpatients. Psychosomatics. 39:(3):1998;273-280.
32. Wancata J., Benda N., Windhaber J., Nowotny M. Does psychiatric comorbidity increase the length of stay in general hospitals? Gen Hosp Psychiatry. 23:(1):2001;8-14.
33. Francis J., Kapoor W.N. Delirium in hospitalized elderly. J Gen Intern Med. 5:(1):1990;65-79.
34. Levenson J.L., Hamer R.M., Rossiter L.F. Relation of psychopathology in general medical inpatients to use, and cost of services. Am J Psychiatry. 147:(11):1990;1498-1503.
35. Endicott J., Spitzer R.L. A diagnostic interview the schedule for affective disorders, and schizophrenia . Arch Gen Psychiatry. 35:(7):1978;837-844.
36. Charlson M.E., Pompei P., Ales K.L., MacKenzie C.R. A new method of classifying prognostic comorbidity in longitudinal studies development, and validation . J Chron Dis. 40:(5):1987;373-383.
37. American Psychiatric Association. Diagnostic, and statistical manual of mental disorders. Washington, DC, American Psychiatric Association, 1994.
38. Furlanetto L.M., Bueno J.R. Depressão em pacientes internados em hospital geral validação do SADS em uma amostra brasileira . J Bras Psiq. 48:(10):1999;435-440.
39. Marcantonio E.R., Flacker J.M., Wright R.J., Resnick N.M. Reducing delirium after hip fracture a randomized trial . J Am Geriatr Soc. 49:(5):2001;516-522.
40. Inouye S.K., Bogardus S.T.J.r, Charpentier P.A., Leo-Summers L., Acampora D., Holford T.R., Cooney L.M. Jr. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med. 340:(9):1999;669-676.
41. Practice guideline for the treatment of patients with delirium. Am J Psychiatry. 156:(5 Suppl):1999;1-20.
42. Folstein M.F., Folstein S.E. "Mini-Mental State". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 12:1975;189-198.
43. Murden R.A., McRae T.D., Kaner S., Bucknam M.E. Mini-Mental State exam scores vary with education in blacks, and whites. J Am Geriatr Soc. 39:(2):1991;149-155.
44. O'Connor D.W., Pollitt P.A., Hyde J.B., Fellows J.L., Miller N.D., Brook C.P., Reiss B.B. The reliability, and validity of the Mini-Mental State in a British community survey. J Psychiatr Res. 23:(1):1989;87-96.